<?php

require 'header.php';

?>
      <div class="middle">
		<div class="simple-container-left" id="page:main-container">
			<div class="container" id="page:container">
				<div class="main">
					<div class="content-container">
						<div class="content" id="content">
							<div class="content-header">
								<table class="grid-header" cellspacing="0" border="0" >
									<tbody>
										<tr>
											<td style=""><h3 class="icon-head head-customer">Manage Loan</h3></td>
										</tr>
									</tbody>
								</table>
							</div>
							<form name="form1" id="form1" action="/" method="post">
							<div class="entry-edit">
                                <br />
								<h4 class="icon-head head-edit-form fieldset-legend"> Add Notes</h4>

                                  <table width="100%" border="0" cellspacing="0">
									<table width="100%" cellspacing="10" border="0" style="background-color:#eeeeee" >
									<tbody>
								        <tr>
         							            <td>
                            	           <table width="100%" cellspacing="0" border="0">
										<tbody>
										<tr>
										    <td width="50%">
								    		        <table width="100%" cellspacing="5" border="0">
							                                 <tbody>
                                                                                          <tr>
										           <td>Notes ID <span class="required">*</span></td>
										           <td><em>autogenerate</em></td>
										          </tr>
										          <tr>
										           <td>Borrower ID <span class="required">*</span></td>
										           <td><input name="borrower_id" value="" class="required-entry required-entry input-text" type="text"></td>
										          </tr>
										          <tr>
										           <td>Entry Person</td>
										           <td><input name="manufacturer" value="" class="required-entry required-entry input-text" type="text"></td>
										          </tr>
										          <tr>
										           <td>Note Date<span class="required">*</span></td>
										           <td><input name="model_no" value="" class="required-entry required-entry input-text" type="text"></td>
										          </tr>
										         </tbody>

                                              </td>
                                             </tr>
                                              <tr>
											<td>Note <span class="required">*</span></td>
											<td><textarea name="item_description" cols="70" rows="4"></textarea></td>
										       </tr>
                                            </table>

										</tr>

									  </tbody>
        	                             </table>
                                      </td>
	                                   </tr>
                                        <tr align="center">
                                           <td>

                                                             <button type="button" class="scalable back" onclick="setLocation('add_borrower_wizard.php')" style=""><span>Reset</span></button>
                                                             <button type="button" class="scalable cancel" onclick="setLocation('loan.php')" style=""><span>Cancel</span></button>
                                                             <button type="button" class="scalable save" onclick="setLocation('loan.php')" style=""><span>Save</span></button>

                                            </td>
                                         </tr>
								</tbody>
        	                     </table>
                                  </td>
	                            </tr>
								      </tbody>
								    </table>
									&nbsp;

							</div>
							</form>
						</div>
					</div>
					
					<div class="section-menu" id="page:left">
						<h3>Loan Center</h3>
						<ul id="loan_info_tabs" class="tabs">
                            <li>
						        <a href="notes_view.php" title="View Loans" class="tab-item-link active">
					            <span><div class="changed" title="The information in this tab has been changed."></div><div class="error" title="This tab contains invalid data. Please solve the problem before saving.">
								</div>Notes</span>
						        </a>
						    </li>
						</ul>
						<div class="bottom"></div>
					</div>
              	</div>
			</div>
		</div>
	</div>

<?php

require 'footer.php';

?>